Hypertensive disorders in pregnancy

Hypertensive disorders in pregnancy-ICD-10-CM GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. EDEMA,PROTEINURIA AND HYPERTENSIVE DISORDERS IN PREGNANCY

2. INTRODUCTION Why edema during pregnancy? excess fluid collects in your tissue. It's normal to have a certain amount of swelling during pregnancy because you're retaining more water. Changes in your blood chemistry also cause some fluid to shift into your tissue.

3. In addition,   growing uterus  puts pressure on pelvic veins and vena cava (the large vein on the right side of the body that carries blood from lower limbs back to the heart). The pressure slows the return of blood from legs, causing it to pool, which forces fluid from veins into the tissues of feet and ankles . edema is most likely to trouble you during the  third trimester . 

4. PROTEINURIA In non-pregnant individuals, abnormal total protein excretion is typically defined as greater than 150 mg daily. In normal pregnancy , urinary protein excretion increases substantially; hence, total protein excretion is considered abnormal in pregnant women when it exceeds 300 mg/24 hours

5. HIGH BLOOD PRESSURE DURING PREGNANCY High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm Hg. The condition is a serious concern for some pregnant women. High blood pressure during pregnancy isn’t always dangerous. But it can sometimes cause severe health complications for both mother and developing baby .

6. CAUSES being overweight or obese failing to stay active smoking drinking alcohol first-time pregnancy a family history of pregnancy-related hypertension carrying more than one child age (over 40)

7. RISK FACTORS using assistive technologies (such as IVF) during the conception process can increase chances of high blood pressure in a pregnant woman. Women who had high blood pressure before pregnancy are at higher risk for related complications during pregnancy than those with normal blood pressure.

8. Types of pregnancy-related blood pressure conditions Chronic hypertension Gestational hypertension Chronic hypertension with superimposed preeclampsia

9. ECLAMPSIA Eclampsia  is the onset of seizures(convulsions ) in a woman with pre- eclampsia .   Pre- eclampsia is a disorder of pregnancy in which there is high blood pressure and either large amounts of protein in the urine or other organ dysfunction.

10. ICD-10-CM GUIDELINES Pre-existing hypertension complicating pregnancy, childbirth and the puerperium-010 Pre-existing hypertension with pre- eclampsia - O11 Gestational [pregnancy-induced] edema and proteinuria without hypertension- O12    Gestational [pregnancy-induced] hypertension without significant proteinuria- O13

11. O14  Pre- eclampsia O15   Eclampsia O16  Unspecified maternal hypertension https://www.medesunglobal.com

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